Total knee replacement
Facility: Kingman Healthcare Center
Billing Code: 27447 (CPT)
- CPT Billing Code: 27447
- Insurance Median: $1,157
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.09x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Triwest | $1,140 | 9% |
| Medicaid / KanCare | $1,156 | 9% |
| Healthy Blue | $1,156 | 9% |
Consumer Guidance & Cost Commentary
For a total knee replacement at Kingman Healthcare Center in Kingman, KS, the negotiated rates for three major payers—Triwest, Medicaid/KanCare, and Healthy Blue—are all set at approximately $1,157. This negotiated amount is significantly lower than the Medicare benchmark of $13,116.76, reflecting the standard industry practice where commercial contracts cap costs well below federal reimbursement. While the facility is a voluntary non-profit Critical Access Hospital, the data does not provide a specific cash or median paid figure for this service, so patients cannot yet determine if paying out-of-pocket directly would result in a lower total cost.
Because cash prices are not listed in this report, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can sometimes reduce the final bill by 20% to 50% if paid upfront. It is also important to request a detailed, itemized bill before finalizing payment to ensure no errors, unbundled codes, or charges for services not rendered are included, as over 80% of hospital bills contain discrepancies. While the report does not provide specific county or state average comparisons for this procedure, understanding that commercial negotiated rates are typically 200% to 300% of Medicare rates helps patients evaluate whether the facility's pricing aligns with fair market value standards.